OFF PUMP TECHNIQUE: A REPORT OF TWO CASES

Myocardial bridges, primarily described by Reyman in 1737 and Black in 1805 and result systolic compression to the epicardial coronary arteries are most probably randomly noticed (1). In postmortem studies, solitary or multiple bridges are reported in 5-86 % frequency (2). These myocardial bridges are confronted in 0.5-33 % rate (3). The majority are seen in LAD (1,2). Inspite of high frequency rate of their presence, these bridges hardly results to ischemia and symptoms. Although they are described as a simple variant of coronary artery anatomy, many complications such as angina, myocardial infarction, atrioventricular block or sudden death related to myocardial bridges were reported (2-4). In addition, Roul et al. reported a left ventricle dysfunction case due to the myocardial bridge (3). The importance of the myocardial bridges are still in debate. But these are generally accepted as benign lesions. We presented two myocardial bridge cases 43 and 51 years old with ischemic symptoms